关键词: anterior cortex caffey disease collagenopathy infantile cortical hyperostosis tibia

来  源:   DOI:10.7759/cureus.33655   PDF(Pubmed)

Abstract:
An inflammatory collagenopathy of infancy characterized by subperiosteal bone hyperplasia is known as infantile cortical hyperostosis (ICH) or Caffey disease. A 10-day male infant presented to the hospital with leg swelling, excessive crying, and irritability since birth. He was born with the swallowed part of his tibia bone. The X-ray suggested hyperostosis of the bilateral tibia bone involving the anterior cortex, which is more prominent on the right side. The infant was clinically monitored and treated and discharged after the swelling was reduced. Again, he was admitted to the hospital at 10 weeks of life, and a similar thickening appeared on his left tibia. He was administered analgesics and non-steroidal anti-inflammatory drugs (NSAIDs) and discharged under a follow-up schedule. The infant was monitored in the pediatric ward for the next seven days. The swelling and pain completely subsided one and a half weeks after hospitalization, and continued follow-up was suggested until the complete correction of the disease on an outpatient basis. This disease must be recognized and understood, and the clinical-radiological correlation is significant.
摘要:
以骨膜下骨增生为特征的婴儿期炎性胶原病被称为婴儿皮质骨肥大症(ICH)或Caffey病。一名10天的男婴腿部肿胀到医院就诊,过度哭泣,和易怒,因为出生。他出生时胫骨的一部分被吞下了。X线提示双侧胫骨骨增生累及前皮质,在右侧更突出。对婴儿进行临床监测和治疗,并在肿胀减轻后出院。再一次,他在10周的生命中住院,他的左胫骨也出现了类似的增厚。他服用了镇痛药和非甾体抗炎药(NSAIDs),并在随访时间表下出院。在接下来的七天中在儿科病房中监测婴儿。住院后一周半,肿胀和疼痛完全消退,并建议继续随访,直至门诊完全纠正疾病.必须认识和理解这种疾病,临床-放射学相关性显著。
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